HIGH PERFORMANCE CPR:SEATTLE STYLE

Hiltz is employed by the

AMERICAN HEART ASSOCIATION

Baumrind has NO conflicts

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DISCLAIMER

B

INTRODUCTORY REMARKS

B

NOT NEARLY ENOUGH PRACTICE OCCURS

BEGINNERS PERMIT

“Quality CPR is a means to improve survival from cardiac arrest. Scientific studies demonstrate when CPR is performed according to guidelines, the chances of successful resuscitation increase substantially. Minimal breaks in compressions, full chest recoil, adequate compression depth, and adequate compression rate are all components of CPR that can increase survival from cardiac arrest. Together, these components combine to create high performance CPR (HP CPR)”

TOO MANY PEOPLE ARE GOING HERETOO EARLY!

B

SURVIVAL is the

BENCHMARK for

EMS PERFORMANCE B

B

Survival to Discharge around the country:

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The disparity

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A QUICK REVIEWOF RELATED SCIENCE

DELAYS AND INTERRUPTIONS KILL!

HAVING QUALITY TIME ON THE CHESTIS ESSENTIAL

Compression Fraction

• Measures the percentage of total time that compressions are actually being done

• Includes all delays and interruptions

B

RESUSCITATION OUTCOMES CONSORTIUM (ROC):-Circulation, 2009

“…increasing chest compression fraction (hands-on time) during out of hospital resuscitation of patients with ventricular fibrillation is an independent determinant of survival to hospital discharge. Devising CPR protocols that take advantage of this simple fact can save thousands of lives each year and are extremely inexpensive to implement.”

B

B

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EACH PERSON HAS AN ASSIGNED ROLE

AND PRACTICES AGAIN AND AGAIN!

DRUGS WITH PROVEN BENEFIT:

What Works?• Early, good quality CPR• Early defibrillation• Therapeutic hypothermia (possibly in field)

B

BLS Owns the Resuscitation!

• Out of hospital Cardiac Arrest is a BLS event• Includes ALS and BLS providers• Interventions that work are Basic Life Support

interventions• Everybody (ALS, BLS, Driver, Attendant) has the

same chance to positively effect the outcome• There is NO reason to “wait” for ALS to

resuscitate someoneB

•C-A-B•Minimize interruptions in compressions•Compress at least 100/min•Allow complete chest wall recoil/decompression between compressions•Rhythm assessment every 2 minutes•Rotate compressors every 2 minutes•Hover over patient with hands ready during defibrillation so compressions can start immediately after the shock (or analysis) has occurred

ALWAYS TRUE!

B

HOVERING

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PIT CREW LEADERAIRWAY LEADERDEFIB-IV/IO-MEDSCPR CHIEFCPR DEPUTY CHIEF

*VARIABLE PLAYER

PRE-ASSIGNED ROLES

PRACTICELIKEYOUPLAY

THIS IS WHERE IT IS AT

IMPLEMENTATION

B

30:2or

CONTINUOUSB

B

RESOURCES

WWW.RESUSCITATIONACADEMY.ORG